| NPI | 1952875619 |
|---|---|
| Other Name | REBEKKA D SUSSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CG60922467) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |